South Dakota Medicaid has expanded functionality in the Medicaid Portal to include the ability to submit institutional (UB-04) claims directly to South Dakota Medicaid. Beginning November 5, 2020, Medicaid Providers will be able to submit a Medicaid claim (including a claim with Third Party Liability) or a Medicaid Xover (Medicare Crossover claim, where Medicare is primary). Providers will be able to submit up to 5 attachments with the claim. South Dakota Medicaid encourages providers to start utilizing the online claim submission tool, but will continue to allow submission of paper claims. Use of the Medicaid Portal for claims submission reduces encoding errors and claims processing time.
A Portal UB04 Submission Webinar and Submission Guide is available online on the SD Dept of Social Services website.
South Dakota Medicaid will also host several question and answer sessions:
- Nov. 10th from 2 pm to 3 pm CST call – 1 669 900 9128 – Meeting ID: 926 4334 7757# – Passcode: 142434# or from your computer UB-04 Portal Submission Q & A 11-10-2020
- Nov. 12th from 3 pm to 4 pm CST call – 1 253 215 8782 – Meeting ID: 934 846 4439# – Passcode: 786818# or from your computer UB-04 Portal Submission Q & A 11-12-2020
- Nov. 19th from 11 pm to 12 pm CST call – 1 253 215 8782 – Meeting ID: 958 8288 8325# – Passcode: 784999# or from your computer UB-04 Portal Submission Q & A 11-19-2020